Surgical management of neonates and children with ambiguous genitalia.

A. Pintér, G. Kosztolányi

Research output: Contribution to journalArticle

Abstract

Gender assignment is a neonatal surgical emergency. Early evaluation and treatment of intersexuality must be done as a team approach with a genetist, a paediatric endocrinologist and a paediatric surgeon/urologist taking part in it. Change of gender after 2 years of confusion of gender identity often results in social disaster. Over a period of 20 years the authors managed a total of 27 patients with ambiguous genitalia. They favour early reconstruction of most anomalies at about 3 years of age, which seems to be optimal in terms of surgical feasibility and avoidance of the obvious emotional problems caused by delayed intervention. A detailed description of policy and techniques is given for surgical intervention in the patient to be raised as a female or as a male. They changed the gender in three patients, twice in neonates and once before two years of age.

Original languageEnglish
Pages (from-to)111-121
Number of pages11
JournalActa paediatrica Hungarica
Volume30
Issue number1
Publication statusPublished - Jan 1 1990

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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